Individual
SEERATH BASRAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, CLINICAL NUTRITION, DALLAS, TX 75235-7701
(214) 456-2178
(214) 456-6287
Mailing address
12660 HILLCREST RD, #9201, DALLAS, TX 75230-2032
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80770
TX
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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